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Wyoming rates for HCPCS Q4258

Enverse, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.41 / $82.41 / $82.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.75 / $97.82 / $98.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,417.80 / $1,668.00 / $1,668.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.67 / $84.67 / $84.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.75 / $127.00 / $127.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.75 / $89.75 / $89.75